Routine inspection·February 14, 2023

On 2/14/2023, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed no COVID-19 signs posted by the front entrance. LPA was greeted and screened at the front entrance by caregiver, Marcelina Bamba and LPA explained the purpose of the visit. Caregiver called and informed administrator of this visit and administrator arrived shortly thereafter to assist with the inspection. LPA toured facility and grounds and LPA did not observed any infection control and COVID-19 signs through out the facility, No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies. there are 6 residents at the facility and all of them are in a private room. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction is not observed by the hand washing stations. Medications, and sharps are stored appropriately and inaccessible to resident. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During the tour of the facility, LPA observed toxins and chemicals are stored in a closet but the door was not lock. The administrator attempted to lock the door but was not successful as there was a blue tape covering the lock which prevented the door from locking. Based on observation, and record review, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D as the disinfectants and chemicals were not inaccessible to residents and there was no infection control/COVID-19 signs observed. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator and licensee. A copy of this report and appeal rights were provided.